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Z7 Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. 2S Data 1/- a f-©/ Page oil <br /> 837 Shaw Road- Stockton,California .95215 - (209)467-1006- Fax (209) 467-1118 <br /> Client �eF(G,&f +"to241-P Wi/LU �s�l 1L P u L ag Tests Required <br /> Phone Number <br /> -- � z✓ � U <br /> Samplers: (Signature) Invoice: <br /> Project Name aA._ . q l�l( � VILV, tG ( r �V Client_ <br /> Sample Location Solid Sample Type No. of V tLq <br /> Number Description Date Time Water Air Conts. Notes <br /> Comp. ereb. �[ C <br /> 'r' - '6Y'Df f,� <br /> J <br /> EE- uL137 .) <br /> �-I✓ o (lP3 6,@ n r2{s ?C <br /> r <br /> t. <br /> TAL <br /> Goof) PR SER�tATID i <br /> _ � t I <br /> - - <br /> ---HEAD SP-AG A(1SEtJ - COt 1Aiiv'ERS lab up rr e pl' - ,Y ,p ;1 xt�3 t <br /> qua afore ece ve y: (Signature) n <br /> - SAA PJ:- T A - ate im <br /> 1 -01-01 <br /> fl nqu he y: (signature) Received by: (Signature) <br /> Dalen me <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) DalerTime <br /> Dispatched by: (Signature) Daterrima flsceived Im Laboratory y: Dote/Tina <br /> Cc�o C� n' A'r 11/2/01 11WV <br /> Math of Shipment: Laboratoly Name <br /> k e zL <br /> Spaclel Instructions: 1 hereby authorize the pert rmanes of the above indicated work. <br />